Abstract: The concepts of self care of health (the goal of self care) are explored in relation to the self care nursing model. It is a basic premise of this model that the client be involved to the fullest possible extent in regarding or developing self care skills. It is proposed that individuals differ in respect to their readiness of such involvement and effort in their own health work and, hence, inability to benefit from the application of the self care nursing model. The study aimed at developing a means of identifying and predicting these differences. It was hypothesised that the individuals perceptions and beliefs about heath, his attribution about the location of blame for illness and the extent to which he perceives himself as having control over the contingencies of his behaviour, would all systematically influence his readiness to engage in self care. A health questionnaire designed to obtain data on individual health related beliefs and practices was constructed. This was mailed to a random sample of non-academic staff from one of the universities. A combination of univariate and multivariate analyses of the 86 completed questionnaires showed four major variables to be significantly interrelated. The pattern of relationships which emerge between responses to other items in the questionnaire cast further light on the complex determinants of health behaviour. Of particular interest is the suggestion that the way health is defined is a crucial factor. Use of the principal axes method of factor allowed a shortened version of the original questionnaire to be produced. The profile yielded by scores on this instrument, not only describes the client in terms of four major health related variables, but can also be used to predict readiness to benefit from a self care nursing approach

Abstract: The focus of this thesis is the practice of the nurses employed in the Native Health Nursing Scheme in New Zealand from 1911 to 1930. These nurses were a vanguard movement for change in community nursing services as they established a new role and developed innovative ways of practicing nursing while claiming greater autonomy and accountability for nurses who worked in community settings. Consequently they contributed to an increase in status for nurses in New Zealand.The Native Health Nursing Scheme was established by the Health Department to replace the Maori Health Nursing Scheme, an initiative by Maori leaders for Maori nurses to provide nursing care for their own people. The original scheme had foundered amid under-resourcing, a lack of support from hospital boards and administrative chaos. Government policy for Maori health was openly assimilationist and the mainly non-Maori Native Health nurses carried out this policy, yet paradoxically adapting their practice in order to be culturally acceptable to Maori.Their work with the Maori people placed the Native Health nurses in a unique position to claim professional territory in a new area of practice. As they took up the opportunities for an expanded nursing role, they practiced in a manner which would develop the scope and status of nursing. The geographical isolation of their practice setting provided the nurses with the challenge of practicing in an environment of minimal administrative and professional support, while also offering them the opportunity for independence and relative autonomy. Obedience, duty and virtue, qualities highly valued in women of the day, were expected especially in nurses. These expectations were in direct contrast to the qualities necessary to perform the duties of the Native Health nurse. The conditions under which these nurses worked and lived, the decisions they were required to make, and the partnerships they needed to establish to be effective in the communities in which they worked, required courage, strength, organizational ability and commitment

Abstract: Two convenience samples of 90 NZ registered nurses responded to two structured questionnaires designed to explore nurses views of caring in nursing practice.The studies demonstrate that nurses see caring as a central concept in their practice. From the response the meaning of caring was found to be multi dimensional, consisting of six components: value, expressive, action, relationship, knowledge and purpose. The value dimension includes areas such as humanistic value and professional value. The expressive component consists of empathy, compassion, trust, concern, sharing and willingness. Action components are helping, comforting, being there, empowering, advocacy, nurturing, advising, touching and performing nursing procedures. The major relationship component is partnership. An important part of the knowledge component is clinical expertise and the purposive component of caring consists of meeting health needs and promoting healing and welfare. The meaning of caring begins to emerge from these studies. However, they do not provide full understanding of caring phenomena. A further in-depth study of actual nursing practice is still in progress